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Dr. Paul Langlois – Tele Critical Care (TCC) in our Challenging Healthcare Times: Optimize Resources and Patient Outcomes

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Faculty:
Dr. Paul Langlois
Duration:
1 Hour 2 Minutes
Format:
Audio and Video
Copyright:
Apr 16, 2020

Description

Outline

Emerging Trends in Tele-Critical Care (TCC)

  • Centralized hub and spoke structure
  • Decentralized program structure
  • Hybrid program structure

Staffing Structures

  • Personnel (employed or contracted)
  • Nurses/APN
  • Physicians

Tele-Critical Care Organizations

  • Multiple ICUs within a single healthcare system
  • Triage system to get patient to appropriate level of care
  • Serve as resource to other healthcare system

Tele-Critical Care Outcomes

  • Sepsis management (treat faster than conventional healthcare)
  • Reduction in mortality (reduced mortality versus conventional)
  • Staff support (higher staff satisfaction)

Address the Barriers to TCC

  • Financial (return on investment)
  • Shift in responsibility and negligence (who is ultimately responsible for the patient)

Licensure and Credentialing

  • CMS: Provider licensure in the state they practice
  • VA practitioners can practice in any state
  • Is there interstate cooperation
    • 21 states have physician cooperation
    • 29 states have nurse cooperation
    • 0 for pharmacists
  • Credentialing requirements
  • TCC requires specific telemedicine training – not just medicine or nursing care

Legislative Issues

  • Growing legislation at federal and state level
  • Video transmission of sensitive data
  • Data sent to a non-secure smart phone

Future Directions

  • Legal barriers
  • More partnership
  • Determine best practices

Faculty

Dr. Paul Langlois, APN, Ph.D., CCRN, CCNS, CNRN's Profile

Dr. Paul Langlois, APN, Ph.D., CCRN, CCNS, CNRN Related seminars and products: 21


Dr. Paul Langlois, APN, Ph.D., CCRN, CCNS, CNRN, is a critical care clinical specialist in the Surgical, Medical, Neurologic, Burn, CCU and Trauma ICUs of Cook County Hospital, Chicago. Drawing on over 30 years of experience assessing and managing patients with life-threatening diseases, Dr. Langlois provides advanced-level training to nurses, physician assistants, nurse practitioners and physicians. Dr. Langlois received his Doctor of Nursing degree from Rush University in Chicago, Illinois.

Dr. Langlois is committed to providing the highest quality of care to patients through advanced education. His presentations are evidence-based, timely and provide participants with case studies to facilitate critical thinking. As a bedside clinical nurse specialist, he has developed several institution-wide protocols for the multidisciplinary assessment and management of the cardiac, neurologic, septic, and multi-system organ failure patient.

His presentations are enthusiastically delivered and offer practical tips that help make the most challenging concepts easy to understand. Linking knowledge to clinical practice is the goal of every educational program.

Speaker Disclosures:

Financial: Paul Langlois has an employment relationship with Cook County Hospital. He receives a speaking honorarium from PESI, Inc.

Non-financial: Paul Langlois has no relevant non-financial relationship to disclose.


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